Attention note

Contact a healthcare professional if you experience unusual or acute symptoms, such as severe shortness of breath, chest pain, dizziness, or confusion.

Fatigue and exhaustion: these tips are important

Post Excertional Malaise (PEM), recognize and prevent "crashes"

Post-Exertion Malaise (PEM) refers to the worsening of symptoms after physical, mental or emotional exertion, it is also referred to as "crash". PEM is a different symptom than a healthy person's "normal" fatigue after activity, excitement, or exertion. For many clinics, researchers, and affected people, PEM is considered the primary symptom of chronic fatigue syndrome (ME/CFS). Many people affected by Long COVID report similar "crashes" even after the smallest physical, cognitive, or emotional exertion.

Early detection of PEM is important and can reduce "crashes" and provide more safety during efforts in everyday life. Early detection also improves physical and mental well-being.

How to recognize and reduce PEM:

  • Recognize PEM as a consequence or side effect of overexertion.
  • Keep diary to identify patterns of overexertion.
  • Search discussion with a doctor or an expert.
  • The following methods may help: Pacing / Return to sport / Specific rehabilitation

Here you will find a PDF with detailed information about PEM.
Here you will find two short videos about PEM.
Here you will find a short introduction to PEM.

Do you have a tip?

If you know any tip or techniques that could help other affected people, we look forward to hearing from you via our contact form. Thank you!